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학습 자료 둘러보기 →The hallmark of RMSF is generalized small-vessel vasculitis, which directly invades the central nervous system. This can rapidly progress to meningoencephalitis or cerebral edema. A structured neurological assessment every 4 hours is critical to catch subtle changes like altered consciousness or pupillary abnormalities before irreversible injury occurs.
While on doxycycline, the patient remains at high risk for deterioration during the first 48-72 hours. Nursing surveillance must focus on the primary driver of mortality: neurological complications. Supportive care, such as managing fluid status, is secondary to this focused assessment.
Never administer aspirin to children for fever control due to the risk of Reye's syndrome. Fever in RMSF is managed with acetaminophen and external cooling measures.
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